首件樣品檢驗報告.doc

第1 張 共 張Sheet 1 of sheet .供應(yīng)商編號SupplierID ：名稱Name：填寫“公司的英文或中文名及相應(yīng)中文拼音” Write “company name”or in Chinese pinyi地址 Address 填寫“公司地址”Write“company adress“首件樣品檢驗報告Initial Sample Inspection Report接收人Recipient 部門Dept: 填寫“相關(guān)接收樣品的部門” write “recipient department name“姓名Name: 填寫“ 接收樣品的人員姓名” Write “recipient name“外觀批準報告（由品質(zhì)部批準）Appearance Approval Report (AAR by quality)尺寸檢驗報告Dimension Report材料檢驗報告Material Report 性能檢驗報告Function Report供應(yīng)商 / SUPPLIER購貨商(客戶)/ BUYER (Customer)零件編號.Part No. 填寫“圖號” Write “part Code” “cccoe“code“compannanamename零件名稱Designation 填寫“樣品名稱” Write “part name”圖紙版本 Index:29.04.2010 Write drawing version 零件編號.Part No. 零件名稱Designation圖紙版本Index簽發(fā)日期Date issued 填寫報告日期 Write report date報告編號Report No. 填寫內(nèi)部報告編號 Write report No參考Reference相關(guān)報告同零件的前一次報告或改進前的報告等等Write last FSR No Write last FSR No簽發(fā)日期Date issued報告編號.Report No.參考Reference模具編號填寫模具編號Tool No.write “mould No”模腔數(shù)目填寫模腔數(shù)No. of cavities write “cavity NO”樣品數(shù)量Quantity of samples備注Remark首件樣品檢驗原因Reason for initial sample inspection新供應(yīng)商new supplier新零件new part規(guī)格更改changed specifications產(chǎn)品加工過程更改changed production process新的制造地new manufacturing location產(chǎn)品長期停產(chǎn)1年extended interruption of production1year由供應(yīng)商和客戶共同核準的首件樣品檢驗的規(guī)范，存放在以下文檔中The specifications jointly approved by the Buyer and Supplier for the initial sample inspection are contained in the following documents:檢驗結(jié)果見附表實際尺寸見樣品檢驗單不合格的在“AT”欄中注明For inspection results, refer to attached sheets:The actual measurements are given in order of the samples.Non-conforming specifications are indicated in the column AT.違禁物質(zhì)聲明 /Declaration of substances:此產(chǎn)品不含任何歐盟關(guān)于在電子電器設(shè)備 中禁止使用某些有害物質(zhì)的指令（簡稱: ROHS,編號：EC）從2006 年7 月1 日起禁用的物質(zhì)The parts contain none of the substances prohibited from 1.7.2006 by the EU directive 2002/95/EG (ROHS)是/yes 否/noREACH禁用物質(zhì)清單REACH candidate list(SVHC):此零件不含有濃度0.1%的SVHC物質(zhì) the part contains no SVHC substances in a concentration0.1%,reference 參見:http:/echa.europa.eu/chem_data/authorisation_process/candidate_list_table_en.asp 是/yes 否/no* -*name and concentration of SVHC is required *要求提供SVHC物質(zhì)名稱及濃度簽名/ Signature 張三此區(qū)域供應(yīng)商手寫簽字，根據(jù)此樣品是否符合，在相應(yīng)的方框內(nèi)打叉(是或否)Supplier signature. And cross mark on square . 此標準可從下列鏈接獲取/ Standard available at /supplier 備注 (供應(yīng)商)/Remarks (Supplier):填寫：1此樣品第幾次送樣；2. 所附加其它報告（如材質(zhì)報告），或其它報告見哪份FSRWrite: 1. Sample delivery times; 2. Attached report name備注/Remarks (CEN):1. Initial samples must be taken from 18 hours production with a minimum 300 consecutive parts, unless otherwise specified by CEN quality rep. . 除非斯易安品質(zhì)代表特別同意，首件樣品必須18小時的量產(chǎn)，且規(guī)定的生產(chǎn)數(shù)量至少為300件連續(xù)生產(chǎn)的零件。條件Conditions ：我們供應(yīng)商在此聲明,1.所提交的樣品是完全采用正常生產(chǎn)的原材料，按照正常批量生產(chǎn)的方法生產(chǎn)的;2.樣品檢驗準確結(jié)果如報告（偏差見附表）,3.首件樣品批準并不免除供應(yīng)商按適用的圖紙和規(guī)格交付產(chǎn)品的責(zé)任.We hereby certify,1.That samples submitted are completely made with regular production resources following regular series production methods.2.The correct inspections of the samples and their listing in this report (deviations are shown separately).3.That a sample approval does not relieve the supplier of his responsibility to deliver material according to the applicable drawings and specifications. 結(jié)論/Decision: 1=接收approved;2. 一定條件下接收approved with concession;3拒收,交新樣品rejected new samples required;4.無要求not requested;5.處理中in process.12345尺寸Dimensions材質(zhì)報告 Material analyse性能測試Eng.Fuction TestRoHSREACH放行Release重新送樣new sample needed 是yes日期Date: 部門 Dept：.名字 / 電話號碼 (如有疑問以便聯(lián)系)Name / Telephone No. (in case of queries)日期：填寫日期 date責(zé)任人簽名：簽字 signatureDateAccountable Signature正楷填寫責(zé)任人簽字Plain WritingAccountable Signature分發(fā)：品質(zhì)/采購/物流/研發(fā)/工藝工程師Distribution: QA/Purchasing/R&D/Logistic/Process Engineering修改日期.Modification No.進料日期Incoming date填表日期Date of Issue首件樣品檢驗報告尺寸檢驗報告Dimension Report材料檢驗報告Material Report性能檢驗報告Funktion ReportInitial Sample Inspection Report檢驗結(jié)果 / Test result 檢驗結(jié)論見表一 / Result report see page 1供應(yīng)商SUPPLIER報告編號.Report No. 參考Reference供應(yīng)商 / SUPPLIER填寫“公司的英文或中文名及相應(yīng)中文拼音”Write supplier name in English or in Chinese Pinyi購貨商(客戶)BUYER (Customer)報告編號.Report No. 參考Reference共張，第張Sheetof Sheet零件編號/名稱Part No./Designation 填寫“圖號”和“零件名稱”write code and part name零件編號/名稱Part No./Designation供應(yīng)商/SUPPLIER購貨商(客戶)/Purchaser (Customer)編號Pos.規(guī)格要求Dimensions nominal實測結(jié)果(供應(yīng)商) Actual Results (Supplier)不合格AT實測結(jié)果 (客戶) Actual Results (Buyer)不合格AT結(jié)論DecisionABCD1和圖紙上的尺寸或其它要求編號相應(yīng)；圖紙每一個尺寸必須有一個編號（1，2，3，等等）1)The Pos number must be the same as drawing marked number; 2) all the dimension must be checked for the first sample delivery; 3) “AT “column must be marked if the actual result is out of drawing require;填寫“圖紙尺寸(必須包括公差)或其它要求“填寫“實測尺寸或其它要求的結(jié)果”Write “dimension require pluge tolerance or other requirement”Write “acutal measured dimension or other requirement result”重量 / Weight備注 (供應(yīng)商)/Remarks (Supplier): 備注 (客戶)/Remarks (Customer):1. For K and A quality dimensions, quality rep reserves the right to require initial process capability. The process with index (Cpk or Ppk )1.33 is not accepted for FSR release.對于K類和A類尺寸，品質(zhì)代表有權(quán)要求供方保證初期過程能力, 指數(shù)值小于1.33的過程不符合FSR接受準則。 日期責(zé)任人簽名DateAccountable Signature日期責(zé)任人簽名DateAccountable Signature注釋:A =必須修改/CorrectionC =考慮修改圖紙偏差/Deviations will be considered in the drawingB =允許使用數(shù)量/Limited use allowed for 單位/Units D = 可接收的偏差/Acceptable deviation修改日期.Modification No.進料日期Incoming date填表日期Date of Issue外觀批準報告 Appearance Approval Report(AAR)首件樣品檢驗報告Initial Sample Inspection Report供應(yīng)商 / SUPPLIER填寫“公司的英文或中文名及相應(yīng)中文拼音”只有外觀件才要求做此報告。（如：機殼，圓盤，手柄等）only appearance part need do AAR(e.g shell, handle)Write supplier name in English or in Chinese Pinyi供應(yīng)商SUPPLIER報告編號.Report No. 參考Reference采購人員/BUYER購貨商(客戶)BUYER (Customer)報告編號.Report No. 參考Reference共張，第張Sheetof Sheet零件編號/名稱Part No./Designation 填寫“圖號”和“零件名稱”write code and part name零件編號/名稱Part No./Designation供應(yīng)商/SUPPLIER購貨商(客戶)/Purchaser (Customer)編號Pos.規(guī)格要求Kan 082.030Dimensions nominal實測結(jié)果(供應(yīng)商) Actual Results (Supplier)不合格AT實測結(jié)果 (客戶) Actual Results (Buyer)不合格AT結(jié)論DecisionABCD1Surface structure皮紋2Color顏色 P3pos.E3 （D65）DL*（P.w100B0）Da*（+Red / green-）Db*（+Yel / blue-）3sharp edges, esp in the access area 銳邊，尤其在接觸區(qū)P64Incidence points (sink mark) 縮痕評估 P7Visible area A: front and top 能見區(qū)A：前面、上面Visible area B: on the sides能見區(qū)B：側(cè)面Visible area C: lower side能見區(qū)C：較低的表面5Excess spraying at the edges飛邊毛刺 P76White break / ejector pressure ma